1

Welcome and role call

BGO

2

Review of previous meeting minutes and actions

• Secondary disorders -

  • GCIs vs. defined ancestors - further thoughts?

• Combined disorders

  • If a disorder and it’s cause can be co-occurrent for part of the combined life phase, should co-occurrent and due to not be allowed but rather recommend documenting X due to Y and Y separately during the co-occurrent phase? or

  • Should individual combined disorders be represented as both due to and co-occurrent and due to so that either can be documented when appropriate?

•  

  • Should co-occurrent and due to be the default pattern and due to be used only when it is clear that the causative and resultant condtions never completely overlap?

  • Should manifestations of a disorder specifically called out always be modelled as X manifestation co-occurrent and due to Y  i.e. Respiratory involvement co-occurrent and due to dermatomyosisits?

Added to tracker item. Con for using defined ancestors will lead to creation many more concepts

Requires further evaluation. Test plan to be deverloped

Consensus was that manifestations of a disorder specifically called out should always be modelled as X manifestation co-occurrent and due to Y  i.e. Respiratory involvement co-occurrent and due to dermatomyosisits. Development of domain-specific guidelines for applying combined disorder modeling patterns needs to be undertaken. ECH to post UK GP/FP refset and BGO to post KP CMT combined disorder diagnoses. Initial areas to consider are AIDs, dental (e.g. gingival, periodontal).

3

User friendly names

BGO

• Request from JCA to provide user friendly names as additional descriptions for combined disorders

See discussion post from BGO 7/12/2016

4

Complications of procedures

BGO

• should procedures be an allowed value for due to for procedure complications?

• Should sequela be a subtype of complication?

Concern that given "loose" interpretation of causality, an indirect affect temporaslly related to a procedure might be falsely interpreted as a complication. This could be addressed by stating that due to when applied to procedure complications indicates direct causality.

General feeling was that sequela should be a subtype of complication but that further testing of the impact needs to be done

5

Alternate allergy model

BGO

• Request by JCA to change model for allergic disposition to include pathological process=allergic process and causative agent in the role group instead of after=allergic sensitization (disorder) and causative agent

Testing of the current model against JCA's alternate model by both BGO and JCA indicates identical inheritance of parents. Alternate model will be implemented so that consistecy with other models (e.g. infectious disease) will be maintained.

Allergic disposition models_3.pptx

Allergic disposition (Allergy to substance).pptx

6

Face to face meeting in Wellington - Oct. 2016

BGO

• Do we want to meet (half day vs. full day)?

• Possible topics

BGO has contacted Fleur for available meeting days/times as will identify potential conflicts with other scheduled meetings.

ECE members asked to submit potential tpics

7

AOB, adjourn

ALL

• Next meeting 7/25/2016 2100 UTC